Individual
SARAH E SOUTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1010 ANNA KNAPP EXT, MT PLEASANT, SC 29464-5400
(843) 971-1920
(843) 971-1920
Mailing address
2760 TRICOM ST, NORTH CHARLESTON, SC 29406-9169
(843) 300-8585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5994
SC
Other
Enumeration date
02/15/2010
Last updated
06/09/2022
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